Evidence map›Paper›PMID 32548700›Full record

ArticleDiabetologia2020

IGF-1 and cardiometabolic diseases: a Mendelian randomisation study.

Susanna C Larsson, Karl Michaëlsson, Stephen Burgess

Open access · hybridAbstract read
In one paragraph

Article in Diabetologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 2 pooled it
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

41 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  14. Plasma Insulin-like Growth Factor-Binding Protein-7 Is Positively Associated with Age, Obesity, Mortality, and Cancer in Postmenopausal Women.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Susanna C LarssonDepartment of Surgical Sciences, Uppsala University, Epihubben, 75185, Uppsala, Sweden. susanna.larsson@surgsci.uu.se.ORCID 0000-0003-0118-0341
Karl MichaëlssonDepartment of Surgical Sciences, Uppsala University, Epihubben, 75185, Uppsala, Sweden.ORCID 0000-0003-2815-1217
Stephen BurgessDepartment of Public Health and Primary Care, University of Cambridge, Cambridge, UK.ORCID 0000-0001-5365-8760
Uppsala University · SEUniversity of Cambridge · GB

Funding

Forskningsrådet om Hälsa, Arbetsliv och Välfärd 2018-00123Hjärt-Lungfonden 20190247Medical Research Council MC_UU_00002/7Vetenskapsrådet 2019-00977Wellcome Trust 204623/Z/16/Z
6 · The paper itself

Abstract

aims/hypothesisAbnormal serum IGF-1 levels are associated with an increased risk of type 2 diabetes and cardiovascular disease. However, the causal role of IGF-1 levels within the normal range in cardiometabolic disease remains unclear. We employed Mendelian randomisation to explore the associations between genetically predicted serum IGF-1 levels and cardiometabolic diseases.

methodsSerum IGF-1 levels were predicted using 416 SNPs associated with IGF-1 levels among 358,072 individuals in UK Biobank. Genetic association estimates for the outcomes were obtained from consortia of type 2 diabetes (74,124 cases, 824,006 controls), coronary artery disease (60,801 cases, 123,504 controls), heart failure (47,309 cases, 930,014 controls), atrial fibrillation (65,446 cases, 522,744 controls), and ischaemic stroke (60,341 cases, 454,450 controls).

resultsGenetic predisposition to elevated serum IGF-1 levels was associated with higher risk of type 2 diabetes and coronary artery disease. The OR (95% CI) per SD increment in IGF-1 level was 1.14 (1.05, 1.24) for type 2 diabetes and 1.09 (1.02, 1.16) for coronary artery disease. The association between IGF-1 and coronary artery disease was attenuated after adjustment for type 2 diabetes (OR 1.06 [95% CI 1.00, 1.13]), suggesting that the association may be partly mediated via type 2 diabetes. There was limited evidence of associations between IGF-1 levels and heart failure, atrial fibrillation and ischaemic stroke. CONCLUSIONS/

interpretationThis study found evidence that increased IGF-1 levels may be causally associated with higher risk of type 2 diabetes. Graphical abstract.

Indexed as

AdultAgedBody HeightCardiovascular DiseasesCausalityDiabetes Mellitus, Type 2FemaleHumansInsulin-Like Growth Factor IMaleMendelian Randomization AnalysisMetabolic SyndromeMiddle AgedPolymorphism, Single NucleotideInsulin-Like Growth Factor IIGF-1Insulin-like growth factorMendelian randomisationType 2 diabetes

Identifiers

PMID32548700
PMCPMC7406523
OpenAlexW3035607564

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.